Organization
RENEW HEALTHCARE LLC
Active
Other names
Renew Clinic & Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE ENGEL KORT CNP, CNM, MPH (CERTIFIED NURSE PRACTITIONER)
(503) 269-3495
Entity
Organization
Contact information
Practice address
2937 NW HIGHWAY 101, SUITE 110, LINCOLN CITY, OR 97367-4442
(541) 614-0314
Mailing address
PO BOX 827, NEOTSU, OR 97364-0827
(503) 269-3495
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MD18043
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049796
OMAP
OR
05
—
049796
—
OR
Enumeration date
07/11/2012
Last updated
03/07/2023
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